HRSN Diagnosis Codes

HRSN (Health-Related Social Needs) refers to individual-level factors such as financial instability, lack of access to healthy food, lack of access to affordable and stable housing and utilities, lack of access to health care, and lack of access to transportation.

If the HRSN assessment is completed and positive (barriers identified), submit HCPCS Code G9919 and the appropriate HRSN Diagnosis Code(s) listed below. Additionally, please ensure that you are using the specific, billable diagnosis code(s), not the non-billable header codes (e.g., Z55, Z56, Z56.8, etc.).

If the HRSN assessment is completed and negative (no barriers identified), submit HCPCS Code G9920.

Problems Related to Education and Literacy (Z55)

Z55.0	Illiteracy and low-level literacy
Z55.1	Schooling unavailable and unattainable
Z55.2	Failed school examinations
Z55.3	Underachievement in school
Z55.4	Educational maladjustment and discord with teachers and classmates
Z55.5 Z55.6	Less than a high school diploma Problems related to health literacy
Z55.8	Other problems related to education and literacy
Z55.9	Problems related to education and literacy, unspecified

Problems Related to Employment and Unemployment (Z56)

Z56.0	Unemployment, unspecified
Z56.1	Change of job
Z56.2	Threat of job loss
Z56.3	Stressful work schedule
Z56.4	Discord with boss and workmates
Z56.5	Uncongenial work environment
Z56.6	Other physical and mental strain related to work
Z56.9	Unspecified problems related to employment
Other problems related to employment (Z56.8)
Z56.81	Sexual harassment on the job
Z56.82	Military deployment status
Z56.89	Other problems related to employment

Occupational Exposure to Risk Factors (Z57)

Z57.0	Occupational exposure to noise
Z57.1	Occupational exposure to radiation
Z57.2	Occupational exposure to dust
Z57.4	Occupational exposure to toxic agents in agriculture
Z57.5	Occupational exposure to toxic agents in other industries
Z57.6	Occupational exposure to extreme temperature
Z57.7	Occupational exposure to vibration
Z57.8	Occupational exposure to other risk factors
Z57.9	Occupational exposure to unspecified risk factor
Occupational exposure to other air contaminants (Z57.3)
Z57.31	Occupational exposure to environmental tobacco smoke
Z57.39	Occupational exposure to other air contaminants

Problems Related to Physical Environment (Z58)

Z58.6

Inadequate drinking-water supply

Other problems related to physical environment (Z58.8)

Z58.81

Z58.89

Basic services unavailable in physical environment

Other problems related to physical environment

Problems Related to Social Environment (Z60)

Z60.0	Problems of adjustment to life-cycle transitions
Z60.2	Problems related to living alone
Z60.3	Acculturation difficulty
Z60.4	Social exclusion and rejection
Z60.5	Target of (perceived) adverse discrimination and persecution
Z60.8	Other problems related to social environment
Z60.9	Problem related to social environment, unspecified
Z62.813	Personal history of forced labor or sexual exploitation in childhood
Z62.814	Personal history of child financial abuse
Z62.815	Personal history of intimate partner abuse in childhood
Z62.819	Personal history of unspecified abuse in childhood
Parent-child conflict (Z62.82)
Z62.820	Parent-biological child conflict
Z62.821	Parent-adopted child conflict
Z62.822	Parent-foster child conflict
Z62.823	Parent-step child conflict
Non-parental relative or guardian-child conflict (Z62.83)
Z62.831	Non-parental relative-child conflict
Z62.832	Non-relative guardian-child conflict
Z62.833	Group home staff-child conflict
Other specified problems related to upbringing (Z62.89)
Z62.890	Parent-child estrangement not elsewhere classified
Z62.891	Sibling rivalry
Z62.892	Runaway [from current living environment]
Z62.898	Other specified problems related to upbringing

Problems Related to Housing and Economic Circumstances (Z59)

Homelessness (Z59.0)
Z59.00	Homelessness unspecified
Z59.01	Sheltered homelessness
Z59.02	Unsheltered homelessness
Inadequate housing (Z59.1)
Z59.10 Z59.11 Z59.12 Z59.19	Inadequate housing, unspecified Inadequate housing, environmental temperature Inadequate housing, utilities Other inadequate housing
Z59.2	Discord with neighbors, lodgers, and landlord
Z59.3	Problems related to living in residential institution
Lack of adequate food (Z59.4)
Z59.41	Food insecurity
Z59.48	Other specific lack of adequate food
Z59.5	Extreme poverty (100% FPL or below)
Z59.6	Low income (200% FPL or below)
Insufficient social insurance and welfare support (Z59.7)
Z59.71 Z59.72	Insufficient health insurance coverage Insufficient welfare support
Z59.9	Problem related to housing and economic circumstances, unspecified
Other problems related to housing and economic circumstances (Z59.8)
Z59.82	Transportation insecurity
Z59.86	Financial insecurity
Z59.87	Material hardship
Z59.89	Other problems related to housing and economic circumstances (billable)
Housing instability, housed (Z59.81)
Z59.811	Housing instability, housed with risk of homelessness
Z59.812	Housing instability, housed, homelessness in past 12 months
Z59.819	Housing instability, housed unspecified

Problems Related to Upbringing (Z62)

Z62.0	Inadequate parental supervision and control
Z62.1	Parental overprotection
Z62.3	Hostility towards and scapegoating of child
Z62.6	Inappropriate (excessive) parental pressure
Z62.9	Problem related to upbringing, unspecified
Upbringing away from parents (Z62.2)
Z62.21	Child in welfare custody
Z62.22	Institutional upbringing
Z62.23	Child in custody of non-parental relative
Z62.24	Child in custody of no-relative guardian
Z62.29	Other upbringing away from parents
Other specified problems related to upbringing (Z62.8) & Personal history of abuse in childhood (Z62.81)
Z62.810	Personal history of physical and sexual abuse in childhood
Z62.811	Personal history of psychological abuse in childhood
Z62.812	Personal history of neglect in childhood

Problems Related to Certain Psychosocial Circumstances (Z64)

Z64.0	Problems related to unwanted pregnancy
Z64.1	Problems related to multiparity
Z64.4	Discord with counselors

Problems Related Other Psychosocial Circumstances (Z65)

Z65.0	Conviction in civil and criminal proceedings without imprisonment
Z65.1	Imprisonment and other incarceration
Z65.2	Problems related to release from prison
Z65.3	Problems related to other legal circumstances
Z65.4	Victim of crime and terrorism
Z65.5	Exposure to disaster, war and other hostilities
Z65.8	Other specified problems related to psychosocial circumstances
Z65.9	Problem related to unspecified psychosocial circumstances

Problems Related to Life Management Difficulty (Z73)

Z73.3	Stress not elsewhere classified
Z91.120	Patient's intentional underdosing of medication regimen due to financial hardship

Personal History of Psychological Trauma, Not Elsewhere Classified (Z91.4)

Z91.42	Personal history of forced labor or sexual exploitation
Personal history of adult abuse (Z91.41)
Z91.410	Personal history of adult physical and sexual abuse
Z91.411	Personal history of adult psychological abuse
Z91.412	Personal history of adult neglect

Encounter for Screening, Unspecified

Z13.9

Encounter for screening, unspecified

Z63.0	Problems in relationship with spouse or partner
Z63.1	Problems in relationship with in-laws
Z63.4	Disappearance and death of family member
Z63.5	Disruption of family by separation and divorce
Z63.6	Dependent relative needing care at home
Z63.8	Other specified problems related to primary support group
Z63.9	Problem related to primary support group, unspecified
Absence of family member (Z63.3)
Z63.31	Absence of family member due to military deployment
Z63.32	Other absence of family member
Other stressful life events affect family & household (Z63.7)
Z63.71	Stress on family due to return of family member from military deployment
Z63.72	Alcoholism and drug addiction in family
Z63.79	Other stressful life events affecting family and household